| LCA CASE NUMBER | I-200-24095-857555 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-04 |
| DECISION DATE | 2024-04-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-01 |
| END DATE | 2027-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nephrology Clinic, PC |
| EMPLOYER ADDRESS1 | 3351 Eastbrook Dr. |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Fort Collins |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80525 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19704925601 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Mikula |
| EMPLOYER POC FIRST NAME | Tobey |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 3351 Eastbrook Dr. |
| EMPLOYER POC CITY | Fort Collins |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80525 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19704925601 |
| EMPLOYER POC EMAIL | tmikula@thenephrologyclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd. |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 80525 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19704925601 |
| AGENT ATTORNEY EMAIL ADDRESS | etaub@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Loveland Central Dialysis |
| WORKSITE ADDRESS1 | 1453 North Denver Avenue |
| LCA CASE WORKLOC1 CITY | Loveland |
| WORKSITE COUNTY | LARIMER |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80538 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159474 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER BUSINESS NAME | Siskind Susser P.C. |
| PREPARER EMAIL | jmoran@visalaw.com |